Isaac Adeyemi, NP
Individual provider Active NPI Family Nurse Practitioner · Richton Park, IL
NPI 1427622232 · NPPES record last updated May 17, 2021
Key facts
- NPI
- 1427622232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209023262 (IL)
- Practice address
- 22858 Millard Ave
Richton Park, IL 60471-2531 - Phone
- (773) 759-1297
- NPI assigned
- May 17, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209023262 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unique Home Healthcare Inc | Current |
Accepting new patients | |
| Light of Hope | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | 209023262 | IL | Yes |
Addresses
Primary practice location
22858 Millard Ave
Richton Park, IL 60471-2531
Mailing address
22858 Millard Ave
Richton Park, IL 60471-2531
Phone (773) 759-1297
Other providers in Richton Park, IL
- Absolute Care Home Services, LLC
- Access to Helping Hands LLC
- Access to Helping Hands LLC
- Cristina Victoria Acosta
- Carita Y Adams
- Vida Agyeman-Badu
- Lynette Allen
- Alr Health and Wellness Inc.
- Amazing Grace Home Care Service
- Mofoluwa Amiyan
All providers in Richton Park, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.